| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.80 | $72.80 | $72.80 | |
Aetna
| Professional | $60.45 | $60.45 | $72.80 | |
BCBS
| Professional | $91.15 | $106.67 | $108.51 | |
Cigna
| Professional | $111.00 | $112.11 | $140.97 | |
Medica
| Facility | $60.45 | $94.96 | $433.65 | |
Medica
| Professional | $41.60 | $66.30 | $99.46 | |
United
| Professional | $31.17 | $54.55 | $99.46 |